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Postoperative Reflux Gastritis

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Postgastrectomy and Postvagotomy Syndromes

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Abstract

Bile is not usually present in gastric juice, because the pylorus normally prevents reflux of duodenal contents. In some pathological conditions, however, duodenal juice with bile refluxes into the stomach or even into the oesophagus, leaving a trail of mucosal damage. One of the first observations on reflux of bile into the stomach was made by Beaumont in 1833 [1], who observed in his subject, Alex St. Martin, that “bile was seldom found in the stomach except under peculiar circumstances”. In the 1940s Schindler [2] performed gastroscopy in 54 patients who had undergone gastrectomy for various reasons. Practically all had some type of gastritis. In four patients who had a normal mucosa there was a pyloruslike function of the stoma; the others had rigid open stomas. Browne and McHardy [3] noted similar changes and also emphasised the possible role of stomal dysfunction. They stated that achlorhydria was the rule.

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Authors and Affiliations

  1. Klinik und Poliklinik für Allgemeinchirurgie, Robert-Koch-Str. 40, D-3400, Göttingen, Federal Republic of Germany

    Professor Dr. med. H. D. Becker

  2. II. Medizinische Klinik, Stadtkrankenhaus, Leimenstraße 20, D-6450, Hanau, Federal Republic of Germany

    Professor Dr. med. W. F. Caspary

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  1. Professor Dr. med. H. D. Becker
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  2. Professor Dr. med. W. F. Caspary
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© 1980 Springer-Verlag Berlin · Heidelberg

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Becker, H.D., Caspary, W.F. (1980). Postoperative Reflux Gastritis. In: Postgastrectomy and Postvagotomy Syndromes. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67350-4_13

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  • DOI: https://doi.org/10.1007/978-3-642-67350-4_13

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-67352-8

  • Online ISBN: 978-3-642-67350-4

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